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WEST SUBURBAN MATERNAL WELLNESS CENTER LLC NPI 1063174175


NPI Information

NPI: 1063174175
Provider Name: WEST SUBURBAN MATERNAL WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
29 S WEBSTER ST STE 330
NAPERVILLE, IL
ZIP 60540
Phone: (331) 330-7378
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WEST SUBURBAN MATERNAL WELLNESS CENTER, LLC is an adult mental health clinic center in Naperville, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WEST SUBURBAN MATERNAL WELLNESS CENTER, LLC NPI is 1063174175. The provider is registered as an organization entity type.

The provider's business location address is:

29 S WEBSTER ST STE 330
NAPERVILLE, IL
ZIP 60540-564
Phone: (331) 330-7378

The provider's authorized official is Rebecca Manderschied .
The authorized official title is Owner and has the following contact phone number (312) 550-7474.

The enumeration date for this NPI number is 10/6/2021 and was last updated on 10/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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